What should you know about non-stop bleeding with Nexplanon?

Etonogestrel changes ovulation and the lining of the uterus. That can produce frequent spotting, bleeding that lasts longer than expected, or unpredictable episodes. The pattern may reflect the implant, but infection, pregnancy, medicines, thyroid problems, fibroids, or another gynaecological condition can also cause abnormal bleeding. A clinician may ask about the amount and timing of blood loss and any related symptoms.

Record when bleeding starts and stops, how often you change pads or other products, and whether you have pain, dizziness, or unusual discharge. Arrange a routine appointment if the bleeding is affecting sleep, work, sex, or daily activities. Do not start hormones, anti-inflammatory medicines, or herbal products to stop bleeding without checking that they are appropriate for you. A hormonal coil may be an alternative to discuss if you are considering a change in contraception.

Get prompt medical advice if bleeding is heavy, prolonged, repeatedly returns, or comes with pelvic pain, fever, unusual discharge, or possible pregnancy. Seek urgent help for fainting, severe weakness, severe one-sided pain, or bleeding that makes you feel unwell. The assessment may include a pregnancy test, examination, or tests for infection and other causes.

Ask whether your bleeding pattern fits a known implant effect, what causes should be checked, and which treatments are safe with your history. Ask how long to monitor the pattern and whether removal or a hormonal coil would better suit your needs.